Provider Demographics
NPI:1972963585
Name:BENAKIS, ASHLEY MARIE (MA, LCMHC, LPC)
Entity Type:Individual
Prefix:
First Name:ASHLEY
Middle Name:MARIE
Last Name:BENAKIS
Suffix:
Gender:F
Credentials:MA, LCMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 IRVING AVE APT J
Mailing Address - Street 2:
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-6549
Mailing Address - Country:US
Mailing Address - Phone:505-401-6487
Mailing Address - Fax:
Practice Address - Street 1:129 IRVING AVE APT J
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-6549
Practice Address - Country:US
Practice Address - Phone:505-401-6487
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-25
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0014692101YP2500X
NCLCMHC18324101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional